Power County Nursing Home - American Falls Nursing Home
General Information
UPDATEFederal Provider Number
135066
Provider Name
POWER COUNTY NURSING HOME
Provider Address
510 ROOSEVELT STREET (83211-1362)
AMERICAN FALLS, ID 83211
AMERICAN FALLS, ID 83211
Provider Phone Number
(208) 226-3200
Provider SSA County
380
Provider County Name
Power
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
20
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
POWER COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1976-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09667
Reported LPN Staffing Hours per Resident per Day
1.58000
Reported RN Staffing Hours per Resident per Day
1.18667
Reported Licensed Staffing Hours per Resident per Day
2.76667
Reported Total Nurse Staffing Hours per Resident per Day
5.86334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36333
Expected CNA Staffing Hours per Resident per Day
2.25582
Expected LPN Staffing Hours per Resident per Day
0.70840
Expected RN Staffing Hours per Resident per Day
0.88980
Expected Total Nurse Staffing Hours per Resident per Day
3.85403
Adjusted CNA Staffing Hours per Resident per Day
3.36830
Adjusted LPN Staffing Hours per Resident per Day
1.85120
Adjusted RN Staffing Hours per Resident per Day
0.99649
Adjusted Total Nurse Staffing Hours per Resident per Day
6.13243
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-02-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2011-10-24
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
62
Cycle 3 Total Health Score
186
Total Weighted Health Survey Score
117.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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